Targeting minor histocompatibility antigens in graft versus tumor or graft versus leukemia responses

被引:39
作者
Feng, Xin [1 ,2 ]
Hui, Kwok Min [1 ,2 ]
Younes, Hashem M. [1 ,2 ]
Brickner, Anthony G. [1 ,2 ,3 ]
机构
[1] Univ Pittsburgh, Dept Med, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Dept Immunol, Pittsburgh, PA 15213 USA
关键词
D O I
10.1016/j.it.2008.09.004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Allogeneic hematopoietic cell transplantation (alloHCT) represents the only curative therapy for several hematologic malignancies, and shows promise as a nascent treatment modality for select solid tumors. Although the original goal of alloHCT was hematopoietic reconstitution after sub-lethal chemoradiotherapy, recognition of a profound donor lymphocyte-mediated graft-versus-leukemia (GVL) or graft-versus-tumor (GVT) effect has shifted the paradigm from pre-transplant cytoreduction to tumor control via donor lymphocytes. In human leukocyte antigen (HLA)-compatible alloHCT, GVL and GVT reactions are induced primarily by donor T-cell recognition of minor histocompatibility antigens (mHAgs). Here we review the literature regarding mHAg-specific T cells in GVL and GVT reactions, and discuss the prospects of exploiting mHAgs as immunotherapeutic targets.
引用
收藏
页码:624 / 632
页数:9
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